Steps 7 and 8: Consolidate and Anchor

Step 7:  Consolidate Gain and Produce More Change

While taking stock of your short-term wins, develop a long-term strategy for your ASP to look for new opportunities for change.  Actively collecting and analyzing data by ward or service will help to determine where the “next step” should go.  Examples:

  • Oncology
    • High usage of broad-spectrum antibiotics (and antifungals)
    • Multidrug resistance and C. difficile infections have great impact on immunocompromised patients
  • Surgery
    • Perioperative antibiotics
    • Achievement of source control may be more effective than antimicrobials alone (e.g. intra-abdominal infections)
  • General Medicine and Emergency
    • High turnover of patients with common infectious diseases
    • May benefit from guidelines and clinical pathways

Consider collaborating with peer hospitals in your region to develop guidelines and pathways.  Chances are you face similar challenges, so why not share ideas and develop consistent approaches to serve patients in your region?

Step 8:  Anchor New Approaches in the Culture

The ASP aims to change practice and approach with the use of antibiotics.  To produce long-lasting effects, it is necessary to enhance knowledge translation by disseminating your successes to allow others to learn from your challenges.  Evaluate your outcomes regularly to ensure the performance of your ASP is sustained.


  • Morris AM, et al. Healthc Q 2010;13(2):64-70.